Thank you for choosing Family Medicine at Greenhill as your healthcare provider. Our office is committed to your care. Please understand that payment of your bill is considered a part of your care. The following is a statement of our Financial Policy. Click to download and print this at home.

How may I pay?

Payments can be made by cash, money order, check, debit or credit card. A returned check fee in the amount of $35 may be assessed to your account for every check returned for insufficient funds, stopped payment or a closed account.

What is my responsibility for my insurance plan’s requirements?

Our staff interacts with many insurance companies, each with different rules and regulations. Although we will do our best to assist with your insurance company’s requirements, it is the patient’s responsibility to ensure that all required permissions are obtained, including referral, pre-certification, pre-authorization and use of in-network facilities. You will be responsible for the entire bill if payment is denied by the insurance company for failure to obtain the requirements.

Insurance and Personal Information

You must ensure that we have the most current and updated information possible. You must bring your current insurance card and a photo ID with you to each visit, notify us of any changes in address, phone number, marital status, and insurance changes.

Co-payments

FMAG is contracted with most insurance providers and is contractually required to collect ALL co-pays prior to service. Please be prepared to pay the co-pay at the beginning of each visit.

Self-pay (Cash/Credit Card) Patients

If you do not have health insurance, payment in full is expected at the time of service. In return, FMAG will extend a 20% discount to the patient.

Minors and Dependents

Parents are financially responsible for care rendered to their minor children. If you are undergoing financial hardship and are having problems paying your balance, please speak with someone in our business office.

Motor Vehicle Accidents

We are pleased to see patients for motor vehicle accidents. However, to meet legal requirements, we must have full insurance details, the claim number and claim address so that we can process authorization before the time of your visit. If this information is not available, then your visit may be regarded as a self-pay appointment. We cannot bill private medical insurance for these claims since they are generally not covered.

Please inform the receptionist when you make you an appointment if have insurance other than your standard medical coverage.

Form Completion

Many forms require an office visit to be completed. Forms submitted to our practice are completed in approximately seven-to-ten business days. There is a charge for some forms. You can obtain the fees associated with these requests at the front desk.

Missed Appointments

We require at least 24-hour notice for cancellation of appointments. You may be charged a $35.00 cancellation fee if the office is not given 24-hour notice of your cancellation.

New patient appointments that are not canceled with the required 24-hour notice will be counted as No Show. New Patients who No Show for the first appointment will not be rescheduled. For established patients we have a three-strike policy and patients who repeatedly miss appointments may be asked to find another provider.

Medicare

Our physicians have agreed to “accept assignment” on all Medicare claims. This means that we must accept Medicare’s approved fees. However, you should know that Medicare only pays a portion of the approved amount above your deductible (generally 80%). In addition to your deductible, you are responsible for the balance of the approved amount (generally 20%) unless you have a supplemental plan that covers these fees. You will be billed for any allowable balance not covered by Medicare and/or your supplemental insurance plan. If you are undergoing financial hardship and are having problems paying your balance, please speak with someone in our business office.